Registration
Join us for a family favorite event! Give your student(s) the experience of performing on stage with their favorite guy! Monday, May 13th from 7:00-8:00pm & Monday, May 20th from 7:00-8:00PM. Cost is $50.00. This includes two t-shirts. Please email if you have more than one student as additional t-shirt fees will apply. Student(s) and their guy will perform at our Recital on June 2nd Dyersville Show is at 3:00pm.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Students Current Age & Grade*
Dancers T-shirt Size YXS, YS, YM, YL, YXL, AS, AM, AL, AXL, A2XL, A3XL, A4XL*
My Guy T-shirt Size YXS, YS, YM, YL, YXL, AS, AM, AL, AXL, A2XL, A3XL, A4XL*
 
Additional Information:
 
Release & Liability
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*
 
 
eCheck/Bank Draft:
Bank Name:*
Bank Routing Number:* (9-digit number)
Your Account Name:* (Your name on your bank statement)
Your Account Type:*   Account Number:*